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Ruggiero Test Bank hj hj
Chapter 1.Core Concepts of Maternal and Pediatric Healthcare Across the Continuum
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MULTIPLE CHOICE hj
A patient chooses to have the certified nurse midwife (CNM) provide care duri
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ng her pregnancy. What does the CNMs scope of practice include?
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• Practice independent from medical supervision hj hj hj hj
• Comprehensive prenatal care hj hj
• Attendance at all deliveries hj hj hj
• Cesarean sections hj
ANS:B - hj
The CNM provides comprehensive prenatal a nd postnatal care, attends uncomplicated deliveri
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es, and ensures that a backup physician is available in case of unforeseen
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problems.
REF: Page 6 hj hj
Which medical pioneer discovered the relationship between the incidence of p
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uerperal fever and unwashed hands? hj hj hj hj
• Karl Cred hj
• Ignaz Semmelweis hj
• Louis Pasteur hj
• Joseph List hj
ANS: B - hj hj
hj Ignaz Semmelweis deduced that puerperal fever was septic, contagious, and transmitted by the unwas
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hed hands of physicians and medical students.
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A pregnant woman who has recently immigrated to the United States comments to th
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e nurse, I Am afraid of childbirth. It is so dangerous. I am afraid I will die. What is the
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best nursing response reflecting cultural sensitivity?
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• Maternal mortality in the United States is extremely low.
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• Anesthesia is available to relieve pain during labor and childbirth.
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• Tell me why you are afraid of childbirth.
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• Your condition will be monitored during labor a nd delivery.
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, 2
ANS: C - hj hj
Asking the patient about her concerns helps promote understanding and individualizes patient
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hj care.
• An urban area has been reported to have a high perinatal mortality rate. Wha
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t information does this provide?
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• Maternal and infant deaths per 100,000 live births per year
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• Deaths of fetuses weighing more than 500 g per 10,000 births per year
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• Deaths of infants up to 1 year of age per 1000 live births per year
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• Fetal and neonatal deaths per 1000 live births per year
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ANS: D - The perinatal mortality rate includes fetal and neonatal deaths per 1000 live births per year.
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• What is the focus of current maternity practice?
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• Hospital births for the majority of women
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• The traditional family unit
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• Separation of labor rooms from delivery rooms hj hj hj hj hj hj
• A quality family experience for each patient
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ANS: D - Current maternity practice focuses on a high-
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quality family experience for all families, traditional or otherwise.
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: REF: Page 6 7 : The Present-Maternity Care N/A : Health Promotion and Maintenance
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• Who advocated the establishment of the Childrens Bureau?
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• Lillian Wald hj
• Florence Nightingale hj
• Florence Kelly hj
• Clara Barton hj
ANS:A - Lillian Wald is credited with suggesting the establishment of a federal Childrens Bureau.
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• What was the result of research done in the 1930s by the Childrens Bureau?
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• Children with heart problems are now cared for by pediatric cardiologists.
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• The Child Abuse and Prevention Act was passed.
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• Hot lunch programs were established in many schools.
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• Childrens asylums were founded. hj hj hj
ANS: C - School hot lunch programs were developed as a result of research by the Childrens Bureau on
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, 3
The effects of economic depression on children.
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• What government program was implemented to increase the educational
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hj exposure of preschool children? hj hj hj
• WIC
• Title XIX of Medicaid hj hj hj
• The Childrens Charter hj hj
• Head Start hj
ANS:D - Head Start programs were established to increase educational exposure of preschool children.
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• What guidelines define multidisciplinary patient care in terms of expected
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hj outcome and timeframe from different areas of care provision?
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• Clinical pathways hj
• Nursing outcome criteria hj hj
• Standards of care hj hj
• Nursing care plan hj hj
ANS:A - hj
Clinical pathways, also known as critical pathways or care maps, are collaborative guideli
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nes that define patient care across disciplines. Expected progress within a specified ti
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meline is identified. hj hj
• A nursing student has reviewed a hospitalized pediatric patient chart, interviewe
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d her mother, and collected admission data. What is the next step the student will ta
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ke to develop a nursing care plan for this child?
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• Identify measurable outcomes with a timeline. hj hj hj hj hj
• Choose specific nursing interventions for the child. hj hj hj hj hj hj
• Determine appropriate nursing diagnoses. hj hj hj
• State nursing actions related to the childs m edical diagnosis.
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ANS: C - The nurse uses assessment data to select appropriate nursing diagnoses from the NANDA-
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I list. Outcomes and interventions are then developed to address the relevant nursing diagnoses.
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• A nursing student on an obstetric rotation questions the floor nurse about th
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e definition of the LVN/LPN scope of practice. What resource can the nurse sugge
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st to the student?
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